How much does Medicare pay for CPT 93970?

Medicare allowed an average of $96.22 per service and paid $73.55 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $349.45, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 93970?

Ultrasound study of arm or leg veins with compression and maneuvers. It was billed 1,341,339 times to 1,240,473 Medicare beneficiaries by 20,375 providers in 2024.

Does 93970 pay differently in an office than a hospital?

Yes. The allowed amount averaged $169.35 in an office setting and $32.54 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 93970 most?

Diagnostic Radiology, with 511,982 services from 11,482 clinicians. Next are Vascular Surgery, Cardiology, Independent Diagnostic Testing Facility (IDTF).

CPT 93970

Ultrasound study of arm or leg veins with compression and maneuvers

$96.22Medicare-allowed amount per service, averaged across 1,341,339 services

Providers submitted

$349.45

Asking price, not received

Medicare allowed

$96.22

The fee schedule figure

Medicare paid

$73.55

Balance is patient coinsurance

Providers submitted an average of $349.45 for this code and Medicare allowed $96.22 — 3.6× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $73.55 (76%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $169.35
Hospital / facility: $32.54

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 624,385 services were billed in an office setting and 716,954 in a facility.

Services: 1,341,339
Beneficiaries: 1,240,473
Providers billing it: 20,375
Total allowed: $129,063,639

What Medicare pays for CPT 93970

Across 1,341,339 services billed by 20,375 providers to 1,240,473 beneficiaries, Medicare allowed an average of $96.22 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 93970

Specialty	Services	Beneficiaries	Avg allowed	Providers
Diagnostic Radiology	511,982	498,570	$52.24	11,482
Vascular Surgery	307,627	281,528	$102.47	2,543
Cardiology	141,430	129,971	$143.14	2,149
Independent Diagnostic Testing Facility (IDTF)	94,063	75,529	$125.22	488
General Surgery	58,421	51,059	$132.02	589
Interventional Radiology	52,947	48,568	$98.78	800
Interventional Cardiology	44,615	42,063	$132.36	764
Internal Medicine	34,550	30,882	$155.00	535
Family Practice	15,794	13,399	$174.87	218
General Practice	10,778	9,117	$141.00	58
Thoracic Surgery	9,183	7,779	$140.31	80
Emergency Medicine	6,671	5,704	$184.95	52
Podiatry	6,445	5,814	$170.17	97
Nurse Practitioner	5,876	5,044	$165.08	67
Cardiac Surgery	5,443	4,564	$144.36	40

93970 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
California	206,968	$125.55	$84.38	2,297
New York	138,785	$119.34	$78.60	1,558
Florida	122,920	$110.13	$83.96	1,747
Texas	85,746	$110.07	$85.59	1,684
New Jersey	68,462	$101.04	$69.10	758
Illinois	63,308	$83.12	$60.63	900
Pennsylvania	47,605	$65.29	$48.54	786
Maryland	43,315	$107.41	$76.02	412
Arizona	39,478	$128.16	$99.00	524
Georgia	38,836	$85.78	$65.79	661
Ohio	36,773	$54.77	$42.33	508
Michigan	35,152	$77.66	$58.61	529
Virginia	33,796	$81.23	$59.69	465
North Carolina	33,015	$73.93	$58.16	688
Tennessee	26,122	$82.99	$67.56	487
Massachusetts	22,721	$57.53	$40.24	428
Alabama	22,111	$68.79	$57.82	413
Missouri	20,869	$58.04	$45.46	355
South Carolina	17,593	$73.24	$58.44	270
Minnesota	17,146	$56.13	$40.73	512
Connecticut	16,385	$98.26	$67.29	302
Washington	15,920	$69.65	$49.33	270
Indiana	15,660	$66.45	$53.41	331
Nevada	15,491	$97.46	$75.08	246
Louisiana	14,345	$94.97	$78.32	311
Colorado	13,631	$96.00	$69.72	317
Kentucky	11,637	$59.24	$46.66	185
Oklahoma	10,560	$49.28	$39.05	195
Mississippi	10,030	$75.93	$64.11	192
Arkansas	8,891	$66.79	$56.59	173
Wisconsin	8,489	$52.79	$40.93	297
Kansas	8,129	$64.78	$51.74	163
Oregon	6,657	$60.46	$44.98	148
Iowa	6,284	$67.82	$53.92	131
Nebraska	6,124	$51.01	$41.05	87
New Mexico	5,914	$92.78	$72.21	78
West Virginia	5,712	$51.84	$38.84	102
District of Columbia	5,644	$116.37	$81.06	66
Utah	4,368	$81.62	$63.96	95
Delaware	4,191	$77.24	$57.80	61
South Dakota	3,235	$62.26	$47.49	53
Idaho	3,042	$48.51	$37.40	82
Hawaii	2,933	$115.65	$81.90	49
New Hampshire	2,695	$37.30	$27.26	87
Rhode Island	2,659	$74.79	$53.87	68
Montana	2,342	$96.78	$71.94	59
North Dakota	2,322	$38.70	$29.32	43
Maine	2,212	$83.11	$58.27	57
Puerto Rico	1,294	$140.84	$106.53	46
Wyoming	1,042	$80.32	$60.19	29
Vermont	926	$36.12	$26.02	29
Alaska	811	$105.97	$67.96	27
XX	566	$166.14	$122.50	2
Guam	297	$150.35	$94.96	6
AP	84	$67.11	$44.04	2
AA	63	$31.48	$23.68	2

Related codes

93971Ultrasound study of one arm or leg veins$51.34
93925Ultrasound of leg arteries or artery grafts$179.07
93922Ultrasound study of arm and leg arteries$54.80
93923Complete ultrasound study of arm and leg arteries$95.57
93978Complete ultrasound of aorta$144.08
93926Ultrasound of one leg arteries or artery grafts$73.51
93975Complete ultrasound of abdomen and pelvis artery and vein blood flow$173.24
93976Ultrasound of abdomen and pelvis artery and vein blood flow$86.57
93990Ultrasound of hemodialysis access$103.15
93979Ultrasound of aorta$89.63
93924Ultrasound of leg arteries at rest and after exercise$138.34
93931Ultrasound of one arm arteries or artery grafts$69.61

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.